Council on Legislation, emphasizes it would be necessary for a physician to go beyond UIL’s standard history- gathering and physical examination when encountering a student athlete who was having chest pains and pal- pitations, who was passing out, or whose physical exam was abnormal. “I want to make it very clear; we’re not talking about the completely as- ymptomatic patient. We are talking about someone who fell over dead or nearly passed out or was experi- encing chest discomfort, palpitations, or unusual shortness of breath,” he said. “The reason you want to screen them is because you would intervene by restricting them from competitive athletics and/or … implanting a defi- brillator or performing some sort of surgical intervention.” Ultimately, Dr. Swanson believes taking the history and physical, with families answering a detailed medical questionnaire thoroughly and hon- estly, will allow screeners to catch the vast majority of young athletes who could be predisposed to SCA. “The proponents of doing an EKG
on everybody somehow don’t think using the questionnaires is enough,” she said. “But if people really answer the questionnaires appropriately, if the person [handling] the physical form really goes over it and refers every single person who has had any kind of an interesting episode — unex- plained passing out, unexplained chest pains, a family history of early heart disease — if all of those are worked up, we can find a lot of these children.” On the final day of the 2015 legisla-
tive session, when it was clear that HB 767 wouldn’t reach the Senate floor, Dr. Terk says he was “very pleased” the bill stalled. “I would like to think that the lead- ership of the Senate Education Com- mittee realized that emotion was driving this bill ahead of any scientific consensus and did not want the law to mandate something that was not sci- entifically validated,” he said. Although Austin pediatric cardiolo-
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July 2015 TEXAS MEDICINE 49
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